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49th Annual Meeting Program and Abstracts

49th Annual Meeting
SOCIETY FOR SURGERY OF THE ALIMENTARY TRACT
May 17 – 21, 2008
San Diego Convention Center – San Diego, California
during Digestive Disease Week®


All rooms at the San Diego Convention Center unless otherwise indicated.

Program and Abstracts  |  Posters

indicates a ticketed session requiring a separate registration and fee.

WEDNESDAY, MAY 21, 2008
7:00 AM – 8:30 AM
SSAT/ISDS JOINT BREAKFAST SYMPOSIUM
HOW I DO IT: AROUND THE WORLD IN 90 MINUTES
(25ABC)
Moderators: Mark P. Callery, Boston, MA
Fabrizio Michelassi, New York, NY

SP69. Laparoscopic Proctocolectomy with J-Pouch Ileo-Anal Anastomosis
Tonia M. Young-Fadok, Scottsdale, AZ

SP70. Advanced Liver Resections
Chung-Mau Lo, Hong Kong, China

SP71. Laparoscopic Sleeve Gastrectomy
Herbert Freund, Jerusalem, Israel

SP72. Debridment for Infected Pancreatic Necrosis
Claudio Bassi, Verona, Italy

SP73. Laparoscopic Paraesophageal Hernia Repair: Facts and Myths
Marco G. Patti, San Francisco, CA

Audience Discussion
8:30 AM – 10:00 AM
EDUCATION COMMITTEE PANEL
TEACHING SAFETY IN THE OR
(24ABC)
Moderator: Daniel B. Jones, Boston, MA

SP74. Learning from Errors and Near Misses
Caprice Christian Greenberg, Boston, MA

SP75. Aviation
Richard C. Karl, Tampa, FL

SP76. Who Belongs in the OR? (Who's In and Who's Out?)
Debra L. Sudan, Omaha, NE

SP77. Building More Effective Teams in Surgery
Donald W. Moorman, Boston, MA

Q&A
8:30 AM – 10:00 AM
TRANSLATIONAL SCIENCE PLENARY (PLENARY SESSION VI) (25ABC)
Moderators: Frank Makowiec, Freiburg, Germany
Edward E Whang, Boston, MA

29. The Role of ERCC1 RNA Expression in Blood as a Non-Invasive Predictor of Response to Neadjuvant Radio-Chemotherapy in Patients with Locally Advanced Cancer of the Esophagus
Jan Brabender*1, Daniel Vallböhmer1, Frederike C. Ling1, Andreas C. Hoffmann1, Georg Lurje1, Elfriede Bollschweiler1, Arnulf H. Hölscher1, Paul M. Schneider2, Ralf Metzger1
1Department of Surgery, University of Cologne, Cologne, Germany; 2Department of Surgery, University of zuerich, Zuerich, Switzerland

30. Strong Prognostic Value of Nodal Microinvolvement in Patients with Carcinoma of the Papilla of Vater Receiving No Adjuvant Chemotherapy
Dean Bogoevski*, Paulus G. Schurr, Jussuf T. Kaifi, Guell Cataldegirmen, Oliver Mann, Yogesh K. Vashist, Emre F. Yekebas, Jakob R. Izbicki
General, Visceral and Thoracic Surgery, University Clinic Hamburg-Eppendorf, Hamburg, Germany

31. The Prognostic Superiority of Log Odds of Lymph Nodes in Stage III Colon Cancer
Jiping Wang*1,2, James M. Hassett1, Merril T. Dayton1, Mahmoud N. Kulaylat1
1Department of Surgery, State University of New York at Buffalo, Buffalo, NY; 2Department of Biostatistics, State University of New York at Buffalo, Buffalo, NY

32. High Expression of Heparanase Is Significantly Associated with Dedifferentiation and Lymph Node Metastasis in Patients with Pancreatic Ductal Adenocarcinomas and Correlated to PDGFA and via HIF1a to HB-EGF and bFGF
Andreas C. Hoffmann*1,2, Ryutaro Mori1, Daniel Vallbohmer2, Jan Brabender2, Uta Drebber3, Stephan E. Baldus5, Mizutomo Azuma1, Ralf Metzger2, Christina Hoffmann4, Arnulf H. Hölscher2, Kathleen D. Danenberg6, Klaus L. Prenzel2, Peter V. Danenberg1
1Department of Biochemistry and Molecular Biology and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA; 2Department of Visceral and Vascular Surgery, University of Cologne, Cologne, Germany; 3Department of Pathology, University of Cologne, Cologne, Germany; 4Department of Cardiology, Nuclear Medicine and Molecular Imaging, Heart Center North Rhine-Westphalia,, Bad Oeynhausen, Germany; 5Department of Pathology, University of Düsseldorf, Düsseldorf, Germany; 6Response Genetics Inc, Los Angeles, CA

33. VEGF Gene Therapy Improves Anastomotic Healing in the Gastrointestinal Tract: Applications in Esophageal Surgery
Kristian Enestvedt*1, Shelley R. Winn1, Brian S. Diggs1, Luke Hosack1, Barry Uchida2, Robert W. O'Rourke1, Blair A. Jobe1
1Department of Surgery, Oregon Health and Science University, Portland, OR; 2Dotter Institue, Department of Interventional Radiology, Oregon Health and Science University, Portland, OR

34. Loss of Heterozygosity Portends Poor Survival of Patients with Resected Periampullary Cancer
Jan Franko*1, Alyssa M. Krasinskas2, Marina N. Nikiforova2, Yuri E. Nikiforov2, Steven J. Hughes1, Kenneth K. Lee1, David L. Bartlett1, Herbert Zeh1, Arthur J. Moser1
1Division of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA; 2Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA
10:30 AM – 12:00 PM
DDW COMBINED CLINCIAL SYMPOSIUM
THE BIG POLYP: WHO OWNS IT?
(Ballroom 20A)
Sponsored by: ASGE, SSAT, AGA
Moderators: Marcia R. Cruz-Correa, San Juan, PR
Peter W. Marcello, Burlington, MA

SP78. Endoscopic Mucosal Resection for Colorectal Polyps
Michael B. Wallace, Rochester, MN

SP79. Transendoscopic Mucosal Resection for Rectal Polyps
Theodore J. Saclarides, Chicago, IL

SP80. Endoscopic Submucosal Dissection for Colorectal Polyps: How I Do It
Mainor R. Antillon, Columbia, MO
10:30 AM – 12:00 PM
PLENARY SESSION VII (25ABC)
Moderators: O. Joe Hines, Los Angeles, CA
Blair A. Jobe, Portland, OR

35. Long-Term Results After Minimally Invasive Repair of Giant Paraesophageal Hernia in 105 Patients
Katie S. Nason*, James D. Luketich, Rodney J. Landreneau, Irfan Qureshi, Samuel B. Keeley, Shannon E. Trainor, Manisha Shende, Arjun Pennathur
Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, PA

36. Perioperative Treatment with Infliximab (IFX) in Patients with Crohn's (CD) and Ulcerative Colitis (UC) Is Not Associated with Increased Rate of Postoperative Complications
Hiroko Kunitake*1, Richard Hodin1, Paul C. Shellito1, Bruce E. Sands2, Joshua R. Korzenik2, Liliana Bordeianou1
1Surgery, Massachusetts General Hospital, Boston, MA; 2Gastroenterology, Massachusetts General Hospital, Boston, MA

37. Use of Infliximab Within Three Months Prior to Ileocolonic Resection Is Associated with Significant Adverse Postoperative Outcomes in Crohn's Patients
Kweku A. Appau*, Victor W. Fazio, James M. Church, Bo Shen, Feza H. Remzi, Scott A. Strong, Bret Lashner, Takayuki Yamamoto, Paris P. Tekkis, Jeffery Hammel, Ravi P. Kiran
Colorectal Surgery, The Cleveland Clinic Foundation, Cleveland, OH

38. Selective Management of Iatrogenic Colonoscopic Perforations
Dimitrios V. Avgerinos*, Omar H. Llaguna, Andrew Y. Lo, I. Michael Leitman
Surgery, Beth Israel Medical Center, New York, NY

39. Pancreatic Fistula Rates After 442 Distal Pancreatectomies: Staplers Do Not Decrease Fistula Rates
Cristina R. Ferrone*, Andrew L. Warshaw, J. Ruben Rodriguez, Sarah P. Thayer, Carlos Fernandez-Del Castillo
Surgery, Massachusetts General Hospital, Boston, MA

40. Reoperation for Recurrent Pain Following Failed Primary Operation in Chronic Pancreatitis
Jeffrey S. Browne1, Nicholas J. Zyromski1, Harish Lavu1, Marshall S. Baker2, James A. Madura1, Thomas J. Howard*1
1Surgery, Indiana University, Indianapolis, IN; 2Surgery, Northwestern University, Chicago, IL
10:30 AM – 12:00 PM
VIDEO SESSION III: NOTES: WHERE ARE WE TODAY? (27B)
Moderators: Brian J. Dunkin, Houston, TX
Nathaniel J. Soper, Chicago, IL

V15. NOTES: Dissection of the Critical View of Safety During Transcolonic Cholecystectomy
Edward Auyang*1, Khashayar Vaziri1, Eric S. Hungness1, John A. Martin2, Nathaniel J. Soper1
1Dept of Surgery, Northwestern University, Chicago, IL; 2Gastroenterology, Northwestern University, Chicago, IL

V16. Single Port Access (SPA) Cholecystectomy
Paul G. Curcillo, Erica R. Podolsky*, Steven J. Rottman
Surgery, Drexel University College of Medicine, Philadelphia, PA

V17. Single Incision Laparoscopic Cholecystectomy Using Flexible Endosocopy
Glenn Forrester*, John N. Afthinos, Eugenius J. Harvey, Steven Binenbaum, Grace J. Kim, Julio Teixeira
Minimally Invasive Surgery, St. Luke's-Roosevelt Hospital Center, New York, NY

V18. NOTES-Assisted Roux-en-Y Gastric Bypass
Monika E. Hagen*1, Francois Pugin1, Oliver J. Wagner2, Paul Swain3, Nicolas C. Buchs1, Priya a. Jamidar5, Margherita Cadeddu4, Jean Fasel6, Philippe Morel1
1Digestive Surgery, University Hospital Geneva, Geneva, Switzerland; 2Department of Visceral and Transplantation Surgery, University Bern, Bern, Switzerland; 3Imperial College, London, United Kingdom; 4Department of Surgery, McMaster University, Hamilton, ON, Canada; 5Section of Digestive Diseases, Yale University, New Haven, CT; 6Division of Anatomy, University Geneva, Geneva, Switzerland

V19. Reverse NOTES: Transgastric ERCP
Yoav Mintz, Santiago Horgan, Thomas J. Savides, John Cullen*, Bryan J. Sandler, Garth R. Jacobsen, Mark A. Talamini
Dept of Surgery, University of California, San Diego, San Diego, CA
12:00 PM – 2:00 PM
POSTER SESSION III (Sails Pavilion)
Authors available at their posters to answer questions 12 PM – 2 PM; posters on display 8 AM – 5 PM.
12:00 PM – 3:00 PM
SSAT/SAGES JOINT LUNCHEON SYMPOSIUM: THE GASTROINTESTINAL ANASTOMOSIS: EVIDENCE VS. TRADITION (25ABC)
Moderators: David W. McFadden, Burlington, VT
Mark A. Talamini, San Diego, CA

THE ESOPHAGEAL ANASTOMOSIS

SP81. Traditional Methods to Prevent Leak
Daniel Raymond, Rochester, NY

SP82. How Improving Blood Supply Affects Leak Rate
Kevin M. Reavis, Orange, CA

Q&A

THE PANCREATIC ANASTOMOSIS: THE DANGER OF A LEAK

SP83. Which Anastomotic Technique Is Better?
David B. Adams, Charleston, SC

SP84. Stents, Glue, Etc.: Is Anything Proven to Help Prevent Leaks/Fistulae?
Richard D. Schulick, Baltimore, MD

SP85. Defining, Controlling, and Treating a Fistula
David M. Mahvi, Madison, WI

Q&A

THE COLON ANASTOMOSIS: DIVERSION OR PRIMARY ANASTOMOSIS

SP86. Diverting Ostomy with Pouch Procedure: Should Be Done to Prevent Severe Morbidity
Charles M. Friel, Charlottesville, VA

SP87. Diverting Ostomy with Pouch Procedure: Causes More Morbidity Than It Prevents
Mark J. Koruda, Chapel Hill, NC

SP88. Colonic Trauma: Indications for Diversion vs. Repair
Joseph DuBose, Los Angeles, CA

Q&A

THE BARIATRIC GASTROJEJUNOSTOMY: WHEN THINGS GO WRONG

SP89. Dilating the Stenotic Gastrojejunostomy After Gastric Bypass
Raul J. Rosenthal, Weston, FL

SP90. Leak: Reoperate, Drain, and Feed Distally
Eric J. DeMaria, Durham, NC

SP91. Leak: Treat with Endoscopic Stent
Klaus Thaler, Columbia, MO

Q&A
12:30 PM – 1:30 PM
QUICK SHOTS III (24ABC)
Moderators: Timothy M. Pawlik, Baltimore, MD
Magesh Sundaram, Morgantown, WV

QS23. Outcome of Esophagectomy Based on Surgical Subspecialty Training
Brian R. Smith*, Marcelo W. Hinojosa, Kevin M. Reavis, Ninh T. Nguyen
Department of Surgery, UC Irvine Medical Center, Orange, CA

QS24. Optimizing Outcome Measurement in Pancreatic Surgery: Can NSQIP Measure Up?
Craig P. Fischer*1,2, Thomas A. Aloia1,2, Bridget N. Fahy1,2, Stephen L. Jones1,2, Barbara L. Bass1,2
1Surgery, The Methodist Hospital, Houston, TX; 2Weill Medical College of Cornell University, New York, NY

QS25. The Learning Curve of Laparoscopic Rectal Resection for Cancer: A Single-Center Experience
Marco Montorsi*, Matteo Rottoli, Stefano Bona, Paolo P. Bianchi, Riccardo Rosati
General Surgery, University of Milan, Istituto Clinico Humanitas IRCCS, Milan, Italy

QS26. Short-Term Outcomes After Laparoscopic-Assisted Compared to Open Colectomy for Cancer
Karl Y. Bilimoria*1, David J. Bentrem1, Heidi Nelson2, Steven J. Stryker1, Clifford Y. Ko3, Nathaniel J. Soper1
1Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL; 2Department of Surgery, Mayo Clinic, Rochester, MN; 3Department of Surgery, UCLA and Greater Los Angeles VA, Los Angeles, CA

QS27. Patient Demographics and Surgeon Volume in Pancreatic Resection Mortality
Robert W. Eppsteiner*, Nicholas Csikesz, Jennifer F. Tseng, Shimul A. Shah
Surgery, University of Massachusetts, Worcester, MA

QS28. Are Seasoned Surgeons Still Safe in a Laparoscopic Surgical Crisis?
Kinga A. Powers*1,2, Scott Rehrig1, Noel Irias1, Mark P. Callery1, Steven D. Schwaitzberg2, Daniel B. Jones1
1Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; 2Surgery, Cambridge Health Alliance, Harvard Medical School, Boston, MA

QS29. Meta-Analysis of Mechanical Bowel Preparation for Elective Colon and Rectal Resection
Carlos E. Pineda*, Andrew A. Shelton, Tina Hernandez-Boussard, John M. Morton, Mark L. Welton
Department of Surgery, Stanford University, Stanford, CA

QS30. Sequential Resections of Liver- and Pulmonary Metastases of Colorectal Cancers: Results of 45 Patients
Hannes Neeff*1, Frank Makowiec1, Eva Fischer1, Ulrich T. Hopt1, Bernward Passlick2
1Dept. of Surgery, University of Freiburg, Freiburg, Germany; 2Dept. of Thoracic Surgery, University of Freiburg, Freiburg, Germany

QS31. Prognostic Factors Associated with Survival Following Hepatic Resection of Early-Stage Hepatocellular Carcinoma
Hari Nathan*, Michael Choti, Richard D. Schulick, Timothy M. Pawlik
Surgery, Johns Hopkins Hospital, Baltimore, MD

QS32. Staging Error Does Not Explain the Relationship Between the Number of Nodes in a Colon Cancer Specimen and Survival
Jesse Moore*1, Neil H. Hyman1, Peter Callas2, Benjamin Littenberg3
1Surgery, University of Vermont College of Medicine, Burlington, VT; 2Mathematics & Biostatistics, University of Vermont College of Medicine, Burlington, VT; 3Med-Gen Internal Medicine, University of Vermont College of Medicine, Burlington, VT
12:30 PM – 1:45 PM
MEET-THE-PROFESSOR LUNCHEONS

SP93. The Difficult Cholecystectomy
Lygia Stewart, San Francisco, CA (26B)
2:15 PM – 3:45 PM
DDW COMBINED CLINCIAL SYMPOSIUM (Ballroom 20A)
BALANCING THE USE OF BIOLOGICS AND SURGERY IN MANAGEMENT OF ULCERATIVE COLITIS
Sponsored by: AGA, SSAT
Moderators: Stephen B. Hanauer, Chicago, IL
Scott A. Strong, Cleveland, OH

SP94. Benefits of Biological Therapy in Severe Ulcerative Colitis
Russell D. Cohen, Chicago, IL

SP95. Benefits of Surgery in Severe Ulcerative Colitis
David W. Larson, Rochester, MN

SP96. Risks of Biological Therapy in Severe Ulcerative Colitis
Walter Koltun, Hershey, PA

SP97. Risks of Surgery in Severe Ulcerative Colitis
Asher Kornbluth, New York, NY



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